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The Nurse Identifies the Following Assessment Findings on a Patient

Question 3

Multiple Choice

The nurse identifies the following assessment findings on a patient with pre-eclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and feet. On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the pre-eclampsia?


A) Blood pressure 158/104
B) Urinary output 20 mL/hour
C) Reflexes 21
D) Platelet count 150,000

Correct Answer:

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